Healthcare Provider Details

I. General information

NPI: 1881512564
Provider Name (Legal Business Name): BRIGID REILLY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13833 ADAMS ST
THORNTON CO
80602-7218
US

IV. Provider business mailing address

13833 ADAMS ST
THORNTON CO
80602-7218
US

V. Phone/Fax

Practice location:
  • Phone: 856-404-7785
  • Fax:
Mailing address:
  • Phone: 856-404-7785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: